Chronic anal fissures can be a painful and distressing condition that disrupts daily comfort and quality of life.
These small tears in the lining of the anus may seem minor but can cause intense pain, bleeding, and long-term discomfort if left untreated.
Fortunately, with proper care and expert guidance, many cases of chronic anal fissure can heal without surgical intervention.
At Dr. Pramod D. Bahekar Amrut Hospital in Dombivli, we are committed to providing the highest level of care for all your piles, fistula, anal cancer, hernia, and gallbladder surgery concerns.
With over 37 years of experience, Dr. Bahekar is a recognized leader and the trusted piles and anal cancer surgeon in Dombivli.
What is a Chronic Anal Fissure?
A chronic anal fissure is a small but persistent tear in the lining of the anal canal that lasts for more than six weeks.
Unlike acute fissures, which may heal quickly with minor care, chronic fissures are more stubborn and often require medical attention.
These fissures can lead to complications like infections, spasms of the anal sphincter, and intense discomfort.
What Causes Chronic Anal Fissures?
Several factors can lead to the development of a chronic anal fissure:
- Repeated trauma to the anal canal, often due to:
- Chronic constipation
- Straining during bowel movements
- Passing hard or large stools
- Persistent diarrhea
- Reduced blood flow to the area
- Increased tension or spasms in the anal sphincter
- Underlying conditions like Crohn’s disease or other inflammatory bowel diseases
Chronic Anal Fissure Symptoms to Watch Out For
Common Symptoms
- Sharp or burning pain during and after bowel movements
- Visible tear or crack in the skin around the anus
- Bright red bleeding on the toilet paper or in the stool
- Itching, irritation, or a visible lump near the anal area
When to See a Specialist?
If the symptoms listed above persist for more than six weeks, it’s important to consult a colorectal specialist.
Delaying treatment could lead to worsening symptoms or complications such as infection or the development of anal fistulas.
Can a Chronic Anal Fissure Heal Without Surgery?
Yes, many chronic anal fissures can heal without the need for surgical intervention if treated early and effectively.
Non-surgical methods focus on reducing anal sphincter pressure, improving blood flow, and promoting healing.
Non-Surgical Management Options
- Lifestyle and Dietary Modifications
- Include high-fiber foods such as fruits, vegetables, and whole grains
- Drink plenty of water throughout the day
- Avoid straining during bowel movements
- Use sitz baths (warm water baths) 2-3 times a day to relax the anal muscles
- Topical Medications
- Nitroglycerin ointments to relax the anal sphincter
- Calcium channel blockers (e.g., diltiazem) for increased blood flow and pain relief
- Local anesthetic creams to manage discomfort
- Oral Medications
- Stool softeners to ensure smooth bowel movements
- Mild laxatives to prevent constipation
- Pain relief medications as prescribed
- Botulinum Toxin (Botox) Injections
- Temporarily paralyzes the anal sphincter
- Reduces muscle spasm and allows the fissure to heal
- Effective when topical treatments fail
How Effective is Non-Surgical Treatment?
When followed consistently and under medical supervision, non-surgical treatments are effective in healing many chronic anal fissures. Early diagnosis and proper care significantly reduce the likelihood of requiring surgery.
When is Surgery Needed?
In cases where conservative treatments fail or symptoms persist, surgery might be necessary.
Surgical Options for Chronic Anal Fissure
Lateral Internal Sphincterotomy (LIS) is the most common surgical procedure for chronic anal fissures. It involves making a small cut in the anal sphincter muscle to reduce pressure and promote healing.
Indications for Surgery
- No improvement after 6–8 weeks of non-surgical treatment
- Recurrent fissures despite medication
- Complicated cases involving abscess, fistula, or signs of anal cancer
The Importance of Expert Consultation
Why Choose Dr. Pramod D. Bahekar?
Dr. Pramod D. Bahekar is a leading Anal Cancer Surgeon in Dombivli with unmatched experience in treating chronic anal fissures and other colorectal conditions.
Patients at Amrut Hospital benefit from:
- Personalized, comprehensive care
- Advanced diagnostic and treatment options
- Compassionate support throughout the healing process
Comprehensive Anal Care Services Offered:
- Expert management of chronic anal fissures
- Advanced anal cancer treatment services in Dombivli
- Specialized treatment for piles, fistulas, hernias, and gallbladder issues
Conclusion
A chronic anal fissure doesn’t always require surgery. With timely and proper medical intervention, many patients can find relief through non-surgical treatments.
Understanding chronic anal fissure symptoms and getting the right help early can prevent complications and promote faster healing.
Trust the experience and expertise of Dr. Pramod D. Bahekar at Amrut Hospital, the most trusted name for chronic anal fissure treatment and anal cancer treatment services in Dombivli.
Schedule your consultation today and take the first step toward healing and comfort.
Frequently Asked Questions (FAQs)
- How long does it take for a chronic anal fissure to heal without surgery?
With proper non-surgical treatment, many chronic anal fissures can heal within 6 to 8 weeks. However, individual healing times vary depending on the severity and the patient’s adherence to treatment.
- Can I treat a chronic anal fissure at home?
Home remedies such as sitz baths, dietary changes, and stool softeners can help, but it’s essential to consult a specialist like Dr. Bahekar to avoid complications and ensure complete healing.
- Is chronic anal fissure a sign of anal cancer?
Not necessarily. While chronic fissures are benign, persistent or unusual symptoms should be evaluated by an expert like Dr. Pramod D. Bahekar, a leading anal cancer surgeon in Dombivli, to rule out more serious conditions.
- What happens if a chronic anal fissure is left untreated?
Untreated fissures may worsen, become infected, or lead to complications like fistulas. They can also cause severe pain and impact quality of life.
- Are there any risks associated with non-surgical treatments?
Non-surgical treatments are generally safe but may not work for everyone. In some cases, minor side effects like skin irritation or temporary discomfort can occur.
- When should I consider surgery for a chronic anal fissure?
If there is no improvement after 6 to 8 weeks of conservative treatment, or if symptoms recur frequently, surgery may be recommended for permanent relief.